Factors Associated with Increased Fluoroscopy Time During Elective Endovascular Abdominal Aortic Aneurysm Repair and Its Utilization as an Indicator of Intraoperative and Postoperative Outcomes.

Objectives: This study explores the impact of prolonged fluoroscopy time (FT) on outcomes in endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs). While total operative time includes multiple variables, FT precisely captures the technical precision of the EVAR procedure. By examining the factors that extend FT, we aim to establish FT as a critical quality metric for evaluating surgical performance and predicting postoperative outcomes.

Ipsilateral dual cannulation is associated with wound complications following veno-arterial ECMO decannulation.

Background: Veno-arterial extracorporeal membrane oxygenation (VA ECMO) is a well-established treatment for severe cardio-pulmonary failure. The use of large bore cannulas in the femoral vessels for an extended period has been associated with significant wound complications. There is a lack of data analyzing risk factors that can mitigate such complications.

Blunt Mesenteric Vascular Injuries: Endovascular Management and Midterm Outcomes.

Introduction: Visceral artery injuries are rare but lethal entities that pose significant management challenges in a patient who presents with blunt trauma. There is a paucity of specific guidelines both in the trauma and vascular literature regarding the management of blunt intra-abdominal vascular injuries. The midterm outcomes of two cases of blunt traumatic visceral artery injuries managed successfully with endovascular interventions are presented.

Considerations for Long-Term Dialysis Access in Patients with Left Ventricular Assist Devices.

Background: Renal dysfunction, requiring renal replacement therapy (RRT) is commonly encountered in patients with left ventricular assist devices (LVADs). Continuous flow LVAD (CFLVAD) is the most widely used device. Nonpulsatile blood flow begets special hemodynamic changes.

"Inflammatory Bowel Disease-Not Just the Bowel's Bane": Peripheral Arterial and Venous Thrombosis in a Patient With Crohn Disease.

Introduction: Inflammatory bowel disease (IBD) is a chronic multisystem inflammatory condition with associated endothelial dysfunction and dysregulated coagulation. Although deep venous thrombosis (DVT) in IBD has been well described, arterial thrombosis and thromboembolism are less commonly appreciated.

Methods: A 63-year-old male with a known history of Crohn disease presented with acute-onset right arm pain.

Unilateral Branchial Sinus with Unilateral Renal Agenesis: A Variant of BOR Syndrome? A Case Report.

Patient presented with a congenital discharging branchial sinus. Pre-operative work up including a CT scan of the abdomen-pelvis revealed absence of the left kidney. Branchio-Oto-Renal (BOR) syndrome, a rare autosomal dominant disorder is characterized by branchial arch anomalies, otological and renal anomalies.

Granulomatous slack skin disease: a review, in comparison with mycosis fungoides.

Granulomatous slack skin (GSS) is a rare cutaneous disorder characterized by the evolution of circumscribed erythematous loose skin masses, especially in the body folds, and histologically by a loss of elastic fibers and granulomatous T-cell infiltrates. This disease is often associated with preceding or successive lymphoproliferative malignancies, especially Mycosis Fungoides (MF) and Hodgkin's Disease (HD). Whether Granulomatous Slack Skin Disease is a benign disorder, an unusual host reaction or a precursor of malignant lymphoma or an indolent Cutaneous T-cell Lymphoma (CTCL) in itself, is still a controversy.

Lipoid proteinosis (Urbach-Wiethe disease): a case report from India.

Lipoid proteinosis (Urbach-Wiethe disease) is a rare autosomal-recessive anomaly that primarily affects the skin and the mucosa of the upper aerodigestive tract in children. It is caused by hyaline deposits in tissues. Hoarseness secondary to laryngeal involvement is frequently the first presenting feature.

A case of skull base mucormycosis with osteomyelitis secondary to temporal bone squamous cell carcinoma.

We describe an unusual case in which a 35-year-old man presented with skull base mucormycosis with osteomyelitis secondary to squamous cell carcinoma of the temporal bone. We also review the literature on the clinical characteristics, diagnosis, and treatment of mucormycosis.

Nasal encephalocoele -an atypical case.

Nasal encephalocoele present at birth as a characteristic swelling over the nose and widening of intracanthal distance. Atypical nasal encephalocoeles are usually missed at birth due to absence of any external swelling and they present with diagnostic difficulties. These are very rare and present with only an intranasal mass.

Sore throat - a review of presentation and etiology.

A commonly encountered complaint in clinical practice is that of a sore throat. However, confusion prevails in the minds of the treating specialists as to what treatment protocol should be followed and how to differentiate it from tonsilliti. It was with a view to clarifying this issue that a prospective study was undertaken on 50 patients with the presenting complaint of a sore throat, of which 20 received medical treatment and 30 underwent a tonsillectomy.

Uvulopalatopharyngoplasty - surgery for snoring.

Snoring is a social problem and is considered to be a warning sign, in relation to the upper airway structural and physiological anatomy. The complications and sequelae of snoring can be life threatening also. Therefore it becomes important to treat snoring in the first instance.

Nasal endoscopy-evaluation in epistaxis.

Epistaxis is generally of two types : one where a cause is recognised ( Local or Systemic ) and the other where the cause is not known. All cases of nose bleeds with no evident cause is customarily categorised into an Idiopathic type. Anterior rhinoscopy ordinarily gives a very limited view of the nose and the probable cause of epistaxis, and this, we feel could he one of the reasons why a proper diagnosis is not always likely.

Free high-tech health care in India.

The Sri Sathya Sai Institute of Higher Medical Sciences in Andhra Pradesh can claim to have achieved the impossible--namely, the provision of high-tech medical services completely free of charge. Adherence to the five human values (truth, righteousness, peace, love and non-violence) and complete dedication to serve people without self-interest are the key elements for this success. This example may serve as a model for creating similar hospitals in the service of mankind.

The protocol for the diagnosis of obstructive sleep apnea syndrome.

Our understanding of the nature and the sequence of upper airway obstruction has evolved gradually but considerably. This obstruction, occurring repeatedly in sleep alongwith daytime sleepiness is called Sleep Apnea Syndrome. Narrowing or closures may occur at one or more sites in an unstable upper airway.